HCA Welcomes New Member: Adlife Health Care LLC

November 29, 2010

The Alliance is pleased to welcome its newest member, Adlife Health Care LLC, a private care agency in Framingham, Massachusetts.

Ed Note (03/09/2011): The Alliance has suspended Adlife’s membership, effective immediately.

Return to www.thinkhomecare.org.


HCA Welcomes New Member: Private Care @ CCB

November 29, 2010

The Alliance is pleased to welcome its newest member, Private Care @ CCB, a private care agency in Brookline, Massachusetts.

Return to www.thinkhomecare.org.


Potential Home Care Membership Scam Alert

November 29, 2010

A member agency of the Home Care Alliance received a notice from a bogus company attempting solicitation of membership dues from home care companies. The Alliance reported the incident to the National Association for Home Care and Hospice (NAHC) and they have since released the special announcement below after hearing of other cases.

In recent weeks, many members of the National Association for Home Care & Hospice have been the victims of potential membership scams. Members have reported receiving a fax from the “National Home Care & Hospice Palliative Care Association,” based out of South Easton, MA. The fax asks for company contact information and calls for dues in the amount of $425. Agencies are then instructed to mail a check back for 2011 membership to the South Easton address. No phone number is listed beneath contact information; an “opt-out” number is listed in fine print at the bottom of the page. This number is simply a recording when called, and no company name is attached to the recorded message.

NAHC urges all members to disregard this fraudulent scam. This company has no affiliation with NAHC, which is located in Washington, D.C., and has not been authorized in any manner to contact NAHC members. Any money paid to such entity likely will be hard to recover. Legal action is currently under consideration.

Please contact the Home Care Alliance if you have received a fax like that indicated above.

Return to www.thinkhomecare.org.

In recent weeks, many members of the National Association for Home Care & Hospice have been the victims of potential membership scams. Members have reported receiving a fax from the “National Home Care & Hospice Palliative Care Association,” based out of South Easton, MA. The fax asks for company contact information and calls for dues in the amount of $425. Agencies are then instructed to mail a check back for 2011 membership to the South Easton address. No phone number is listed beneath contact information; an “opt-out” number is listed in fine print at the bottom of the page. This number is simply a recording when called, and no company name is attached to the recorded message.

NAHC urges all members to disregard this fraudulent scam. This company has no affiliation with NAHC, which is located in Washington, D.C., and has not been authorized in any manner to contact NAHC members. Any money paid to such entity likely will be hard to recover. Legal action is currently under consideration.


HCA, NAHC Offer Guidance on Physician Face-to-Face Requirement

November 24, 2010

In an effort to assist agencies in navigating their way through a major piece of a recent CMS Final Rule, the Home Care Alliance and the National Association for Home Care & Hospice have released a list of documents aimed at improving the understanding of patients and educating doctors while encouraging their coordination and cooperation.

The requirement is that a face-to-face visit between a patient and their physician is necessary in order to be certified for home health services.  Please see the sample documents below for guidance and for your agency’s use.

A link to the entire Final Rule as published in the Federal Register is available here. The section of note is Letter “F” for the face-to-face requirement, which is available here.

If there are any questions, or if you would like further information, please contact the Home Care Alliance. Please note that clarification has been asked of CMS regarding certain aspects of the rule, including documentation.

Return to www.thinkhomecare.org.


HCA Submits Comments to CMS on Moratorum, Screening Requirements Rule

November 22, 2010

The Home Care Alliance submitted comments on a proposed rule from CMS, specifically focusing on “Temporary Moratoria on Enrollment of Medicare Providers and Suppliers, Medicaid and CHIP Providers.”

The comments point out data that supports the need for a temporary moratorium on Medicare-certified home health providers. For instance:

…from 2001-2006, Medicare spending grew 2.5 times more in states where the number of home health agencies (HHA’s) increased as compared to states where the number of providers remained the same or decreased.

Highlighting the lack of licensure and Certificate of Need, along with the growth in the number of certified agencies, the Alliance saw an opportunity to protect the hard work of existing agencies that have established a tradition of quality and honesty in the business.

Click here to see more on the CMS proposed rule (CMS-2010-0239-0001: “Medicare, Medicaid and Childrens Health Insurance Programs: Additional Screening Requirements, etc, for Providers and Suppliers)

Return to www.thinkhomecare.org.


MEDPAC Commissioners Discuss Medicare Home Health Payment Overhaul

November 22, 2010

Even as home health agencies prepare to implement the deep payment cuts and regulatory changes called for in the health reform law and 2011 payment rule, MEDPAC’s Commissioners are considering recommending major PPS payment changes in their Spring 2011 report to Congress.   At their November meeting, the Commissioners considered a presentation by home health analyst Evan Christman  on Improving Incentives and Safeguards for the Home Health Benefit .

Christman focused much of his presentation on variations in profitability and how in particular financial performance tracks to cases with therapy use.  Christman also provided detailed data on what he charatcerized as a 48% growth in home health episodes with no prior hospitalization or other post acute services.   The rate of growth for these types of cases, he informed the Commissioners, is 14 times the rate of growth for home health as a post acute care services.  Supply, he said, is expanding to take care of less severely ill patients.   The Commissioners were clearly – by their comments – taken back at this.

Christman recommended the the Commissioner endorse a “redistributive payment recommendation” that would reduce percentage of overall dollars going to cases with therapy in favor of non-therapy and dual eligible patients.  He also  recommended a 3% adjustment for dual-eligibles   Finally, he recommended consideration of a co-payment, specifically on home health cases with no prior hospitalization.   A lengthy and instructive discussion of home health trends, payments and value ensued – all of which can be found on the meeting transcript –beginning on page 211.

While ether are some things in the MEDPAC discussion that this association has  supported (dual eligible adjustments), a review of the transcript reveals we still have both an image and a substance issue when it comes to (many) MEDPAC Commissioners and our services.

Return to www.thinkhomecare.org.


HCA Welcomes New Member: CARE Group Associates, Inc.

November 22, 2010

The Alliance is pleased to welcome its newest member, CARE Group Associates, Inc., a private care agency in East Longmeadow, Massachusetts.

Return to www.thinkhomecare.org.


%d bloggers like this: